There may be limits to what antibiotic stewardship can do. Amesh Adalja More Quotes by Amesh Adalja More Quotes From Amesh Adalja There is always going to be a risk of infection with blood products. Amesh Adalja health-news We are fighting a disease now in 2019 that should have been off the table in the 1960s with the development of the vaccine, it should be viewed as an embarrassment that so many Americans have turned away from vaccines that we are having a record year for measles. Amesh Adalja top-news Anthrax is a zoonotic disease with human cases often tied to animal exposure. For example, multiple cases have occurred at African drumming events when individuals were exposed to animal drum skins that contained anthrax spores, because of the risk of spillover into humans, it is crucial to monitor animal anthrax outbreaks and delimit the exposure of humans while promptly administering post-exposure antibiotics to those exposed. It is also important to emphasize Anthrax is a major biowarfare threat and being prepared for outbreaks of animal origin directly enhances abilities to respond to a potential bioattack using anthrax. Amesh Adalja health-news Not even the exposure we had in 2001, we're talking about the Super Bowl or something like that. Amesh Adalja top-news What's dangerous is when it's in something that's being directly injected into a person, that bacteria doesn't have to go through any kind of barrier. It's a superhighway into the bloodstream. Amesh Adalja company-news There are certain bacterial genes that are more worrisome than others, that are much harder to treat, these genes are lurking in American patients and they are spreading in hospitals and health care facilities. Amesh Adalja health There is a whole confluence of issues that may be resulting in more cases being reported. Amesh Adalja healthcare Antibiotics resistance isn’t just something that happened after the discovery of penicillin. Amesh Adalja health A lot of that material from the birth or the spontaneous abortion or miscarriage of the livestock can transmit it. The main way that people get it is because they inhale material from the birthing of a livestock animal, that’s why you have to take certain precautions when you are working with a cow in the birthing process to make sure that you don’t inhale the material from the birth that may contain the Q fever bacteria. Amesh Adalja health Q fever is a rare diagnosis to make, it’s not terribly common, but that’s because not many people think about it, so they aren’t testing for it with the same frequency. Amesh Adalja health Q fever is something that is well-known to be transmitted to people via livestock, especially around the issues in birth. Amesh Adalja health If antibiotic resistance continues to increase, all of the stuff that’s part of modern medicine and done routinely will become more dangerous. Amesh Adalja health Our toolbox against CRE is very small. Amesh Adalja health The risk-benefit calculation [of many medical procedures] could be altered if the rise in antibiotic resistance continues. Amesh Adalja health There are other infections -- for example, syphilis -- that spread through other ways other than sexual transmission. Amesh Adalja I don't think we have enough information at this point to completely classify it. I think there's some suggestions, but there's more study that needs to be done, there are other infections -- for example, syphilis -- that spread through other ways other than sexual transmission. Amesh Adalja Some of the resource-poor countries where these diseases are endemic sometimes have a clearer path to getting these tests in people's hands than in the United States, where there's so much regulation and it's so hard to do a point-of-care test, i do think there's an advantage to having these tests in endemic countries so that people can get diagnoses quickly. Amesh Adalja It would be great if Quest and LabCorp could do it. It'd be great if there were kits that people could put in sexually transmitted infection clinics to definitively diagnose, but I don't think right now you're hampering the public health response, just because there's no other orthopoxvirus circulating. Amesh Adalja I think that more diagnostic tests closer to patients is better. Commercial assays are even better, but the fact is, there are no other orthopoxviruses out there right now. Amesh Adalja Those of us who know that this is going to be an endemic respiratory virus have been waiting to understand what the virus does in order to become more like its other family members that cause about 25 % of our common colds. So people are on the lookout for those changes. And maybe this is that -- maybe it's not. Amesh Adalja
